HomeMy WebLinkAboutHomestead_Carter (4) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STAND ARD/SUPPLEMENTAL DEDUCTION
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Stab Form 5473(R15/5-14) HCf D
Prescribed by the Department of Local Government Finance FORM
INSTRUCTIONS:See reverse side for filing instruction /
NOTE:Telephone, -:'al Secunry,driver's license,state identification and federal identification numbers are confidential undo 1 • 1.(12-).
I(We) ,�/.' '�///I'/ . certify that I(we)occupied as my. ••1 •' •=•.(
place of — •-nce or am+•-)b g the following described real property under contract for which a Homestead P((QQqe�rty Tax Standard
Deduction is hereby de' L.on e date this application is signed, (date of sAW44e)1191 016
Own. ❑ Am(are)buying under recorded contract
Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a® -
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. N COUNTY ,
--: _ _
.d buying on contact Fee Simple oeMS name
Re¢xdes's o5ce where tam is rewdea Record number Page
tr z.,. L;'+ :,'" _.:-r ! _+ _ 'PROPERTY DESCRIPTI./N i-'z i ,.,'S s`z_ "'--4 ;
Township T. d pity,town,fownS I )
Pa sA comber Legal desaiFCpn me openly n quest on
x Real popemy ❑Arouah assessed mone tone(IC 6f.1-n
tf any of the resider'.:l `udae or the land not exceeding one(1)acre that u.:•nedrtly Nat sburLae is used to produce income.describe the Lee and paten
of
iii Vide]to produce novae.
4 -/?-/2- /d- -6Qa. a.0 . 6o23
-PROPERTY OWNED ELSEWHERE BY CLAIMANT _ _ ,
State,Gouty,and Township Is claimant vacating a homestead?
❑ Yes ❑ No
Signature cis' nt "1�, //��
I hereby certify the above statements are true,correct,and complete. x, '� ��
Addrn�.gt (hum a oil:s'Ce.arg7 aeon) j Address of cated d cry(number end street.city,Ste,end ZIP Code)
ASSESSOR USE ONLY - • ' I ASSESSED VALUE I • HOMESTEAD VALUE I . NON VALDENTIAL
Land not exceeding one(1)acre Immediately
surrounding residential im provements 1 (_n'..-=.r-1,c s'15?1.°.--'"s...aT
t-"-
Other land (2)
Total Land(line f plus line 2) (3) -- - - - — —
Residential improvements or Dwelling (4) i
Annually Assessed Mobile/ _
Manufactured Home Garage (5) r
Other Improvements (6)
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits line T) I(S)
I hereby certify the above is true,correct, I Sgrature ofRe.«sor Dab signed(montn,day,year)
and complete.
Vie tying aeon-Signature of Au:tor Date signed(month,day year)
r �:1 -xli ,12M2a: `"_ A,.,._`.-STANDARDDEDUCTION"ALLOWANCEU'w-• `--`e2 _
20 pay 20 Lesser of 60%of the assessed vdue of to homestead or$45,000
Notwithstanding any other provision,the sum of the deductions pmvidedin IC 6-1.1-12 to a mobile home S
that is not assessed as real property or to a manufactured home that is not assessed es real property may
not exceed one-half(1/2)of the assessed value of the mobile home or manufactured home.
Sigretre of Auditor Date signed(nsst day,fear)
DISTRIBUTION: Origin,-Caa[y Ad:um Fie-Damped Copy-Taxpayer